Scribd Logo
Upload

Welcome to Scribd!

  • 38 views

    Affidavit of Loss - Format

    Uploaded by

    mary
    1) The affiant purchased receipts totaling 1,375 PHP from two establishments on April 23 and 28, 2015. 2) The receipts were lost or misplaced without the affiant's fault or carelessness on April 30, 2015. 3) Despite searching diligently, the receipts could not be found and are considered legally lost. 4) The affiant signed the affidavit on June 25, 2015 in Legazpi City to attest to the truth of the statements for liquidating an April 2015 budget and for any legal purposes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Affidavit of Loss - Format

    Uploaded by

    mary
    38 views2 pages
    1) The affiant purchased receipts totaling 1,375 PHP from two establishments on April 23 and 28, 2015. 2) The receipts were lost or misplaced without the affiant's fault or carelessness on April 30, 2015. 3) Despite searching diligently, the receipts could not be found and are considered legally lost. 4) The affiant signed the affidavit on June 25, 2015 in Legazpi City to attest to the truth of the statements for liquidating an April 2015 budget and for any legal purposes.

    Original Description:

    A sample Format for Affidavit of Loss. Notarial Documents .

    Original Title

    Affidavit of Loss- Format

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1) The affiant purchased receipts totaling 1,375 PHP from two establishments on April 23 and 28, 2015. 2) The receipts were lost or misplaced without the affiant's fault or carelessness on April 30, 2015. 3) Despite searching diligently, the receipts could not be found and are considered legally lost. 4) The affiant signed the affidavit on June 25, 2015 in Legazpi City to attest to the truth of the statements for liquidating an April 2015 budget and for any legal purposes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    38 views2 pages

    Affidavit of Loss - Format

    Uploaded by

    mary
    1) The affiant purchased receipts totaling 1,375 PHP from two establishments on April 23 and 28, 2015. 2) The receipts were lost or misplaced without the affiant's fault or carelessness on April 30, 2015. 3) Despite searching diligently, the receipts could not be found and are considered legally lost. 4) The affiant signed the affidavit on June 25, 2015 in Legazpi City to attest to the truth of the statements for liquidating an April 2015 budget and for any legal purposes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    REPUBLIC OF THE PHILIPPINES)

    Legazpi City
    ) ss.
    x-------------------x

    A ffi d a v i t o f L o s s
    I, , Filipino, of legal age, married and a resident of Unit 1 Homelots Ave., Dona
    Maria Tagas, Daraga Albay Philippines, after having duly sworn in accordance with
    the law, hereby depose and say;
    1. That I am an employee of with the position of Medical
    Representative;
    2. That sometime on April 23, 2015 and April 28, 2015, I purchased
    from the following establishments and was thereafter issued a
    receipt for the cor responding purchased amount:
    I. WAWAYS RESTAURANT
    II. UNCLE TONS

    Php 1,000.00
    Php 375.00

    2. That sometime on April 30, 2015 the said receipts was lost
    and/or misplaced without fault or carelessness on my part;
    3. That despite diligent search and eff ort the said receipts can no
    longer be found and it is considered lost for all legal purposes; and
    4. That I am executing this affi davit to attest the truth of the
    foregoing statements and for the purpose of complying with the
    requirements for liquidation of the April 2015 budget and for
    whatever legal intent and purposes this may ser ve.

    IN WITNESS WHEREOF, I have hereunto set my hand this 25 th day of


    June 2015 in the City of Legazpi, Philippines.

    Affiant
    LTO Drivers License: N01-12-016215

    SUBSCRIBED AND SWORN TO before me this 25 t h day of June


    2015 at Legazpi City. Affi ant personally appeared.
    Affi ant further
    exhibited to me to his competent proof of identity through the document
    written below his name, pursuant to Rule 2, Sec. 12 (a) of the 2004 Rules
    on Notarial Practice.

    Doc. No. ____;


    Page No. ____;
    Book No. ____;
    Series of 2015.

    You might also like